MedicaidBilling CodesLow impact
Attention Provider Type 38 (Waiver for Individuals with Intellectual and Developmental Disabilities): Procedure Code T2019 with Modifier XE Open for Billing
Nevada Medicaid·NV · Psychiatry, Occupational Therapy, Physical Therapy·Billing & Coding
Effective date
Jan 1, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has opened procedure code T2019 with modifier XE for billing by Provider Type 38 (Waiver for Individuals with Intellectual and Developmental Disabilities) for habilitation and supported employment services. This change implements benefit counseling services added by Assembly Bill 259 and is effective for claims with dates of service on or after January 1, 2025.
Action Required
By January 1, 2025: Provider Type 38 facilities must update billing systems to allow T2019 with modifier XE for habilitation and supported employment services (per 15 minutes). Update encounter forms and staff training for providers serving individuals with intellectual and developmental disabilities on Nevada Medicaid waiver programs.